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General NPI Number Information
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NPI Number | 1366455289
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Entity Type | Organization
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Legal Business Name | TEKDOGAN DENTAL HEALTH CENTER PC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9006 OHIO STREET
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City | OMAHA
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State | NE
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Zip | 68134
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Country | US
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Telephone | 402-393-3555
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Fax | 402-505-4487
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Provider Business Mailing Address
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Address Line | 9006 OHIO STREET
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City | OMAHA
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State | NE
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Zip | 68134
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Country | US
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Telephone | 402-393-3555
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Fax | 402-505-4487
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALI I TEKDOGAN
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Credential | DDS
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Telephone | 402-393-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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